HomeMy Public PortalAbout10210 LIVE OAK AVE_Plumbing__ Iea6e7 17 8-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
-� , COUNTY OF LOS ANGELES P L I N G
WILLIAM J. FOX, CHIEF ENGINEER
t FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
9
PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION V^o
ADDRESS 8300 EAST VALLEY BLVD. 2-27
n / i
CITY ROSEMEAD TEL NO. AT. -G7�+ ADDRESS
2
COUNTY 93M 6-305/ LOCALITY
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) (Q O 50 $ ADDRES 'v
BATH TUB Q O 50 50 CIT I TEL. NO.
SHOWER ® 0 50 4-15
I HEREBY (.KNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVEIS CORRECT AND
LAVATORY (WASH BASIN) C O 50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q O 50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICEN E. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAP� PERTY DESCRIBED ABOVE.
Fil
GAS SYSTEM OUTLETS Q O 50 SIGNATURE OFWATER HEAT R @ O 501 .. PERMITT
SLOPSINK� @ O 50I INSPECTION RECORD
FLOOR SINK Q O Sol
FLOOR DRAIN Q O 50
DISHWASHER Q O 501
DRINKING FOUNTAIN Q O 50
1 1
URINAL Q O 501 _J
HOUSESEWER Q O 501 Q
MISCELLANEOUS I I U
I�-I-- 0
I
APPROVALS
DATE INSPECTOR'S NAME
1 ROUGH PLUMBING ( --) r✓ 1,,�y '
GAS PIPING JIG Firs/I'
I GAS VENT
CESSPOOL @ 1 001 CESSPOOL
SEPTIC TANK I SEPTIC TANK
I DRAIN ( ) PIT ( Q 1.00 SEWER
PERMIT . . I 1 00 GAS TEST - 7iIJ
$ UTILITY CO NOTIFIED _
TOTAL FEE I 7 r
FINAL